NPIMap

Organization Active NPI

Amedisys Home Health of South Carolina LLC

Doing business as Amedisys Home Health of Conway

  • Home Health Agency
  • Conway, SC
National Provider Identifier
1316905573
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA-195 Issued in SC
Legal business name
AMEDISYS HOME HEALTH OF SOUTH CAROLINA LLC
Doing business as
Amedisys Home Health of Conway
Practice address
208 Elm St
Conway, SC 29526-5118
Phone
(866) 205-4247
Fax
(866) 717-5478
NPI assigned
May 3, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Proffitt
Title
President and Ceo
Phone
(617) 639-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA-195 SC Primary

Addresses

Primary practice location

208 Elm St
Conway, SC 29526-5118

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other names 1

  • Amedisys Home Health of Conway Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060511000421 SC Part A Provider - Home Health Agency 9638113624 Practice locations: Conway, SC; Hartsville, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316905573. Details of each certification follow.

Home health agency certification: CCN 427112

Legal name
AMEDISYS HOME HEALTH OF SOUTH CAROLINA LLC.
Doing business as
AMEDYSIS HOME HEALTH OF CONWAY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 9, 1999
Last certification
Apr 22, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 29, 2001 in SC
Enrollment address
208 Elm St
Conway, SC 29526-5118

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home Health of ConwayCCN 427112 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Apr 9, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0953418Amedisys Home Health of South Carolina, LLC208 Elm Street, Conway, SC 29526Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Home Health of South Carolina LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

208 Elm St
Conway, SC 29526
Phone (866) 205-4247

538 W Carolina Ave
Hartsville, SC 29550
Phone (843) 968-0770

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Kimberly Seymour Individual Corporate OfficerCoo-LHC Group Apr 13, 2026
Bridget R Kaigler Individual W-2 Managing EmployeeSr. Director Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2006 100%
Joni Babineaux Individual Corporate OfficerCfo-LHC Group Apr 13, 2026
Kristina J Braud Individual W-2 Managing EmployeeRegulatory Manager Apr 15, 2022
Leslie Lyerly Individual W-2 Managing EmployeeAd; Jul 28, 2025
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2009 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys Home Health of CharlestonNorth Charleston, SC, CCN 427005 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 14, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 137

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 137

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1316905573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ELM ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265118",
            "telephone_number": "866-205-4247",
            "fax_number": "866-717-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS HOME HEALTH OF SOUTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA-195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Conway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amedisys Home Health of Conway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.